Active NPI
Victoria Ann Mentasti, PHYSICIAN ASST.
- Medical Physician Assistant
- Brooklyn, NY
National Provider Identifier
1225279540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 009950
- Practice address
- 313 43Rd Street
Brooklyn, NY 11232 - Phone
- (718) 369-1900
- Fax
- (718) 965-4157
- NPI assigned
- Mar 17, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 009950 | NY | Primary |
Addresses
Primary practice location
313 43Rd Street
Brooklyn, NY 11232
Mailing address
313 43Rd Street
Brooklyn, NY 11232
Phone (718) 369-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009950 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1225279540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 43RD STREET",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11232",
"telephone_number": "718-369-1900",
"fax_number": "718-965-4157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 43RD STREET",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11232",
"telephone_number": "718-369-1900",
"fax_number": "718-965-4157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENTASTI",
"first_name": "VICTORIA",
"middle_name": "ANN",
"credential": "PHYSICIAN ASST.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-17",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "009950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.